Abstract
OBJECTIVE: Telemonitoring of home blood pressure measurements (TBPM) is a new and promising supplement to diagnosis, control and treatment of hypertension. We wanted to compare the outcome of antihypertensive treatment based on TBPM and conventional monitoring of blood pressure.
DESIGN AND METHOD: Participants (n = 356) were recruited from a prevalence study among citizens aged 55-64 years in the municipality of Holstebro, Denmark. The study was a randomised, controlled, unblinded 3 months trial. In the intervention group, antihypertensive treatment was based on TBPM with transmission of the measurements and subsequent communication by telephone or E-mail. In the control group, patients received usual care. Primary outcome was reduction in daytime ambulatory blood pressure measurements (ABPM) from baseline to 3 months' follow-up.
RESULTS: In both groups, daytime ABPM decreased significantly. The decrease in daytime ABPM in the intervention group was systolic/diastolic, -8 ± 12/-4 ± 7 mmHg. This did not differ significantly from the control group's -8 ± 13/-4 ± 8 mmHg. An equal number of participants obtained normal daytime ABPM, in the intervention group 17% (31/175) versus control 21% (37/181), p = 0.34. Blood pressure reduction in the TBPM group varied with the different practices.
CONCLUSIONS: No further reduction in ABPM or number of patients reaching blood pressure targets was observed when electronic transmission of TBPM was applied in the treatment of hypertension by GPs. Thus, as an isolated tool TBPM did not improve BP control during a 3 month period.
| Original language | English |
|---|---|
| Journal | Journal of Hypertension. Supplement |
| Volume | 33 |
| Issue | Suppl 1 |
| Pages (from-to) | e46-7 |
| Number of pages | 2 |
| ISSN | 0952-1178 |
| DOIs | |
| Publication status | Published - Jun 2015 |